MICHAEL DOUGLAS BAZZANI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046546

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

DOUGLAS

Last Name

BAZZANI

Suffix

Business Name

MICHAEL DOUGLAS BAZZANI MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/31/2008